Introduction Scapula fractures are receiving unprecedented attention in the orthopedic community, as illustrated by a simple PubMed search for “scapula fracture.” Search results provide only 82 publications in the 150 years from 1818 to 1967, followed by the 30-year span…
Indications High-grade acromioclavicular (AC) joint injuries (Rockwood types IV, V, and VI) are usually treated operatively due to considerable morbidity associated with a persistently dislocated AC joint and severe soft tissue disruption. , In some type IV–VI injuries, primary conservative…
Indications Combined coraco- and acromioclavicular stabilization using a low-profile single TightRope (Arthrex, Naples, FL, USA) device and an additional FiberTape (Arthrex) cerclage is indicated in acute high-grade bidirectional acromioclavicular (AC) joint instabilities (Rockwood type IV–VI dislocations), and depending on the…
The clavicle functions as an anterior strut supporting the upper limb. The distal aspect of the clavicle articulates with the acromion, thus forming the acromioclavicular (AC) joint, via a posterolaterally oriented facet. The acromion has a reciprocal facet, which is…
Indications Clavicle fractures account for 2.6%–4% of all adult fractures, with 10%–30% of these occurring in the distal third of the clavicle. The stability and displacement of the fracture determine whether surgery is indicated as the coracoclavicular (CC) ligaments (conoid…
Indications The most common indications for use of the hook plate are for cases of displaced distal clavicle fractures in which the coracoclavicular (CC) ligaments (trapezoid and conoid) provide insufficient connection between the coracoid and the clavicle, thus allowing the…
Introduction Distal clavicle fractures, also known as lateral clavicle fractures, account for approximately 25% of all clavicle fractures, the second most common subset after midshaft fractures. This fracture is unique because of its high potential for nonunion, potential effects on…
Introduction Recent literature recommends consideration of surgical treatment for completely displaced and/or significantly shortened middle-third clavicle fractures. In certain fracture patterns, intramedullary clavicle fracture fixation has been shown to be an effective option for treatment while offering the potential advantages…
Indications Indications for clavicle fixation include open fractures, skin tenting or soft tissue compromise, significant displacement >2 cm, shortening >2 cm, clinical deformity, significantly associated scapular winging from malrotation, segmental fractures, “floating shoulder” injuries and those with significant comminution. Patient…
Introduction Clavicle fractures are among the most common bony injuries in the body, representing 2.5%–10% of all adult fractures and over 40% of shoulder girdle fractures. , Common injury mechanisms include skiing, mountain biking, American football, soccer/European football, as well…